[Expert Solution]: A 41-year-old female presents for…

A 41-year-old female presents for evaluation of new on set activity intolerance; she has times in which she becomes so out of breath she cannot even talk on the phone without getting out of breath. She has no cardiopulmonary history. Physical examination reveals a grade II systolic murmur at the 4th ICS LSB and a loud S2 heart sound. The rest of the physical examination is within normal limits. The patient does report a remote history of appetite suppressant use for weight loss. The NP considers her symptoms are most likely due to: QID: 4797187 Mark For Review Pulmonary hypertension. Congestive heart failure. Asthma. COPD.